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Contact Information

RONALD A CODARIO SR, MD
2511 S BROAD ST
PHILADELPHIA, PA19148-4309
 Phone: 215-467-3883
 Fax: 215-467-2911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RONALD A CODARIO SR · (Male)

NPI Number 1295892107
Status Active
Credentials MD
Entity Individual
Enumeration date 01/02/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # MD015340-E
  • PA Other 0076334003 AMERICHOICE OF PA
  • PA Other 0055123000 BLUE SHIELD PERS CHOICE
  • PA Other 1039424 KEYSTONE MERCY
  • PA Other 0055123000 PA BLUE SHIELD
Hospital affiliation(s)
  • THOMAS JEFFERSON UNIVERSITY HOSPITAL - (Acute Care)
    111 SOUTH 11TH STREET
    PHILADELPHIA, PA 19107
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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